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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 50-53

Ayurvedic management to aid weaning of anti-depressants: A case report


Department of Manovigyana Evum Manasa Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, India

Correspondence Address:
Dr. S Akshatha
Department of Manovigyana Evum Manasa Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jacr.jacr_4_21

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Depression has become a common psychiatric disorder affecting people of middle-aged group, especially due to their psychosocial issues. Although there are many Allopathic medicines available for its management but these are not free from their adverse/side effects. So people are now looking for alternative medicines to avoid adverse effect of chemical medications. A combined approach of various traditional treatment principles along with psychotherapy will help to overcome the stressors. A 45-year-old male patient, agriculture officer by profession, was admitted to the inpatient department for reducing the dose of antidepressants [sertraline (200 mg) and agomelatine (50 mg)] which he was taking for the last three years. The patient complained of sleeplessness or difficulty in maintaining sleep, loss of appetite, lack of interest in doing daily activities, racing of negative thoughts, and at times experiencing irrational fear. Based on signs and symptoms and Dosha vitiation that is Vata and Kapha, the case was diagnosed as Vishada (~major depressive disorder) with mild features of Chittodvega (~anxiety). On admission, the treatment protocol included Snehapana (~internal oleation) followed by Virechana (~therapeutic purgation), Satvavajaya chikitsa (~psychotherapy), and Shamana aushadhi (~palliative treatment). After the course of treatment, there was considerable improvement such as involving in daily activities, reduced negative thoughts, and improvement in sleep with the reduction in Hamilton's Depression Rating Scale score from 12 to 3. The dosage of antidepressants was tapered after one month of follow-up.


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